Claims Processor
Salary

Claims Processors in the United States can expect wages of $14.68 per hour on average. Geographic location is the main element affecting pay for this group — the specific employer and tenure are driving factors as well. Most enjoy medical while a strong majority get dental coverage. Vision coverage is also available to the greater part. Job satisfaction for Claims Processors is high.

XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).

XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).

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Job Description for Claims Processor

Claims processors - also called claims adjustors - are responsible for accurately and efficiently entering and processing claims for their organization. Claims processors generally work in the insurance industry and they work for many types of companies (such as those specializing in health insurance, automobile insurance, and/or home insurance). These claims may be received via the computer, on paper, or over the phone; processed claims create approvals (which send payment) or denials. Claims processors may be required to answer phone calls from policyholders related to claims, and they must be able to answer such calls quickly and accurately. They typically work in an office setting during normal business hours. If they answer phone calls, claims processors may be required to work on weekends and evenings. This position may be part time or full time, and some companies allow claims processors to work from home. Claims processors generally work seated at a computer workstation for extended periods of time.

Claims processors are usually required to have at least a high school diploma or equivalent, and some employers may require a postsecondary degree. Once hired, claims processors are often required to take additional classes to become proficient within their area of insurance and the policies of their industry. Claims processors must be familiar with basic computer use and claims processing software. They must pay excellent attention to detail and have the ability to multitask under deadline. These professionals must have outstanding customer service and communication skills.

Claims Processor Tasks

Approve claim payments.

Process flexible spending account claims of any type for multiple welfare plans according to established rules and guidelines.

Determine proper payees for benefits in order to discharge company’s liabilities.

Coordinate claims with Medicare and other group insurance carriers.

Audit other team member’s claims as needed.

Claims Processor Job Listings

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Popular Employer Salaries for Claims Processor

State Farm Insurance Company, Allstate Insurance Company, Blue Cross and Blue Shield of South Carolina, Inc. (BCBSSC), WellPoint, Inc., and Allstate are all popular places to work. Claims Processors seeking a sizable paycheck can earn the most at Allstate Insurance Company, where the average salary comes to $35K.

Popular Skills for Claims Processor

This chart shows the most popular skills for this job and what effect each skill has on pay.

Survey results suggest that Claims Processors put a wide range of professional skills to use. Most notably, skills in Medical Coding, Customer Service, Insurance, and Claim Handling are correlated to pay that is above average. Skills that are correlated to lower pay, on the other hand, include Data Entry and Data Processing. Most people who know Customer Service also know Medical Coding and Billing. Those proficient in Claim Handling are, more often than not, also skilled in Billing and Medical Coding.

Pay by Experience Level for Claims Processor

Median of all compensation (including tips, bonus, and overtime) by years of experience.

For Claims Processors, more experience in the field does not usually mean bigger paychecks. In this position, someone who has worked for fewer than five years can expect a median salary of $30K. The median for people with five to 10 years of experience is only a little bit higher at $32K. People with 10 to 20 years of experience make an average of about $35K in this role. After two decades in the workforce, the average Claims Processor generally earns more than ever; median pay for this group is estimated at $38K.

Claims Processor Reviews

What is it like working as a Claims Processor at State Farm Insurance Company?

Claims Processor in Tacoma:

"Call Center Insurance Claim Handler."

Pros: Ability to help people in need. Encouragement of training and ability to move to different areas of the company.